How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $275.42 Median $562.34 Typical High $2,884.03 | Facility | None | $275.42 | $562.34 | $2,884.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $275.42 Typical High $354.81 | Professional | None (both parts) | $194.98 | $275.42 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $70.79 Typical High $100.00 | Professional | 26 · Professional part | $60.26 | $70.79 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $208.93 Typical High $239.88 | Professional | TC · Technical part | $120.23 | $208.93 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $524.81 Typical High $602.56 | Facility | None | $467.74 | $524.81 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $302.00 Typical High $338.84 | Professional | None (both parts) | $154.88 | $302.00 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $69.18 Typical High $102.33 | Professional | 26 · Professional part | $57.54 | $69.18 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $234.42 Typical High $234.42 | Professional | TC · Technical part | $97.72 | $234.42 | $234.42 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $93.33 Typical High $128.82 | Professional | None (both parts) | $33.11 | $93.33 | $128.82 |
Regence BlueShield Setting Facility Modifier None Typical Low $173.78 Median $229.09 Typical High $446.68 | Facility | None | $173.78 | $229.09 | $446.68 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $229.09 Median $269.15 Typical High $338.84 | Professional | None (both parts) | $229.09 | $269.15 | $338.84 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $100.00 Typical High $123.03 | Professional | 26 · Professional part | $85.11 | $100.00 | $123.03 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $165.96 Typical High $208.93 | Professional | TC · Technical part | $144.54 | $165.96 | $208.93 |
Select Health Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Select Health Setting Professional Modifier None (both parts) Typical Low $147.91 Median $245.47 Typical High $398.11 | Professional | None (both parts) | $147.91 | $245.47 | $398.11 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $72.44 Median $158.49 Typical High $331.13 | Professional | None | $72.44 | $158.49 | $331.13 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $245.47 Typical High $371.54 | Professional | None (both parts) | $173.78 | $245.47 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $54.95 Typical High $107.15 | Professional | 26 · Professional part | $52.48 | $54.95 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $144.54 Typical High $263.03 | Professional | TC · Technical part | $117.49 | $144.54 | $263.03 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $138.04 Typical High $147.91 | Professional | 52 · Reduced service | $97.72 | $138.04 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $54.95 Typical High $60.26 | Professional | 53 · Discontinued | $38.90 | $54.95 | $60.26 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $165.96 Median $234.42 Typical High $234.42 | Professional | CT · Older CT scanner | $165.96 | $234.42 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $158.49 Median $223.87 Typical High $223.87 | Professional | FX · Film X-ray | $158.49 | $223.87 | $223.87 |
Where Utah sits
The same service costs 6.2 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Utah· 51st of 51
$105
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.